Jefferson, Katrina

Jefferson, Katrina is an sole proprietor health care provider with primary practice located at 5930 Mahood Dr , Huntington WV 25705-2210. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jefferson, Katrina can be contacted via phone (304) 634-0274.

Contact Information

Primary practice address
5930 Mahood Dr Huntington WV 25705-2210
Phone: (304) 634-0274
Fax: (304) 736-6677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CP00940811 West Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CP00940811 West Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X CP00940811 West Virginia

Profile Details

NPI number 1295059970
LBN Legal business name Jefferson, Katrina
Credentials M.S.W., L.C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2010
Last updated Dec 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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